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Full-Text Articles in Social and Behavioral Sciences

A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating Jan 2023

A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating

Antioch University Dissertations & Theses

This study examined the perspectives of master-level clinical mental health providers and members of leadership at a Community Mental Health Center (CMHC) in New Hampshire, to understand clinician and leadership perspectives as to why master-level providers choose to continue working at CMHCs. Most prior research on turnover in such organizations has focused on why so many leave their positions, however this study instead focuses on factors related to the decision to stay at a specific CMHC in an urban area of New Hampshire. A single case study method was utilized to focus on masters-level mental health care providers with additional …


Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski Jan 2023

Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski

Antioch University Dissertations & Theses

This study contributes to a body of scholarship that demonstrates the benefits and need of employee-driven and defined wellness at work processes. This participatory action research study brought together a team of employees within a remote-work, start-up organization to define and design a process for implementing wellness at work for their organization. Through a participatory process that allowed outcomes to emerge from the group, employees identified opportunities to foster embodied wellness in their organization in three core areas: organizational, personal, and cross-boundary initiatives. Through a reflective collaboration, employees generated ideas and developed a plan to address employee-identified priorities that will …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows Jan 2023

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert Jan 2023

Counselors’ Lived Experience Treating Patients Utilizing Methadone: The Intersection Of Culture, Policy, And Stigma, Kathryn Floyd Eggert

Antioch University Dissertations & Theses

The United States continues to experience unprecedented deaths related to the opioid epidemic. Efforts to address the epidemic remain hampered by war-on-drugs policies that stigmatize people who use drugs and create barriers to accessing evidence-based treatments, particularly methadone maintenance treatments (MMT). Despite 50 years of research regarding MMT, it remains highly regulated, and arguably the most stigmatized treatment. The punitive regulatory structure of MMT remained unchanged until emergency waivers were initiated during the COVID-19 pandemic. The study used an exploratory, critical phenomenological approach to examine the intersection of culture and regulation on the lived experiences of 26 addiction counselors who …


What Does It Look Like For Mental Healthcare Organizations To Be Healthy Places To Work? An Action Research Study, Stephanie L. Fox Jan 2023

What Does It Look Like For Mental Healthcare Organizations To Be Healthy Places To Work? An Action Research Study, Stephanie L. Fox

Antioch University Dissertations & Theses

Mental healthcare organizations have a reputation for being unhealthy places to work. The irony of this reputation is keenly felt by its workforce who report unsustainable workloads, high levels of stress, and lack of support or engagement from higher-level leadership. As a mental healthcare provider now in a position of leadership, who has worked across all levels of care within the sector, it was of interest to me to explore how a mental health organization can become a healthier and more sustainable place to work. I approached this study with the assumption that if an organization was healthy and intentional …


A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler Jan 2023

A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler

Antioch University Dissertations & Theses

This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …


A Constructivist Grounded Theory Analysis Of Seven Medical Provider Perspectives On Major Barriers To Prescribing Buprenorphine To Youth With Opiold Use Disorder In Outpatient Medical Settings: "We Should Be Providing Them With What We Know To Be The Gold Standard Of Care"., Maeve O'Leary Sloan Jan 2023

A Constructivist Grounded Theory Analysis Of Seven Medical Provider Perspectives On Major Barriers To Prescribing Buprenorphine To Youth With Opiold Use Disorder In Outpatient Medical Settings: "We Should Be Providing Them With What We Know To Be The Gold Standard Of Care"., Maeve O'Leary Sloan

Antioch University Dissertations & Theses

This study utilized Primary Care Provider (PCP) perspectives to unveil major barriers to prescribing buprenorphine to youth (ages 16-25) with opioid use disorder (OUD). Semi-structured interviews were conducted with seven PCPs recruited through convenience and snowball sampling. Interviews were conducted and recorded via Zoom video conferencing. Transcripts were generated and analyzed for themes using a Constructivist Grounded Theory (CGT) approach. The CGT of the present study describes four major barriers that limit PCP prescription of buprenorphine to youth: 1) PCPs Feel Overwhelmed, 2) PCPs Feel Ill Equipped to Treat Youth Patients with OUD, 3) PCPs Hold and Observe Stigma toward …


Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington Jan 2023

Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington

Antioch University Dissertations & Theses

The definition of a word helps us understand its context and how it is meant to be used in daily life or research. When a word lacks a universal definition, it is hard to know how to use it. “Resilience” is that type of word. The resilience community in psychological research does not have a concrete, universal definition for this word. It takes on whatever characteristics are useful to the investigator. This study began with seeking a universal definition for the domain known as resilience. This study used a convergent parallel design with adults aged 60 and older living independently …


The Use Of A Habitat Quality Stress Index To Evaluate Stress As An Analog For Proximate Fitness In The American Crow Within A Matrix Of Landcover Characteristics To Assess Its Potential Contribution To Disease Etiologies, Theodore Lee Grabarz Jan 2023

The Use Of A Habitat Quality Stress Index To Evaluate Stress As An Analog For Proximate Fitness In The American Crow Within A Matrix Of Landcover Characteristics To Assess Its Potential Contribution To Disease Etiologies, Theodore Lee Grabarz

Antioch University Dissertations & Theses

All organisms occur within spatial and temporal environments to maximize proximate fitness (health) and thus life history outcomes. Previous work has examined the temporal and behavioral aspects of proximate fitness on life history outcomes particularly regarding highly perturbed environments (i.e., climate and land use change, resource extraction, agricultural erosion, etc.). My work focuses on the less examined spatial aspect of these perturbed environments. More specifically, this dissertation examines habitat selection and quality as the basis for understanding stress response (negative and positive feedback mechanisms) to environmental stressors within the larger context of regional or gamma (ɣ) biodiversity. Through the lens …


Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic Jan 2023

Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic

Antioch University Dissertations & Theses

This post-qualitative study branching from new-materialist, post-humanist epistemology and ontology examines relationality through the lens of three different theories: agential realism, John Shotter’s communication theory, and relational mindfulness. These theories each describe the dynamics involved in relationships, how they each make sense of these dynamics, and what they entail for human relations. Using a post-qualitative diffractive methodology, this study examines these theories and how they intersect to bring about new insights in our understanding of relationships and how this information can support therapy practice. The results are a series of nine principles of orientation, which were applied to marriage and …


Connecting Antibiotic Resistance To The Environment (Care): Introducing A Novel Framework Integrating Chemical Cross-Resistance And Place-Based Engagement To The Blue Marsh Watershed In Reading, Pennsylvania, Jill Felker Jan 2023

Connecting Antibiotic Resistance To The Environment (Care): Introducing A Novel Framework Integrating Chemical Cross-Resistance And Place-Based Engagement To The Blue Marsh Watershed In Reading, Pennsylvania, Jill Felker

Antioch University Dissertations & Theses

Antibiotic resistance is a serious health threat around the world. Millions of individuals are infected with antibiotic-resistant bacteria yearly, and thousands die from previously curable illnesses. Although antibiotic resistance occurs naturally, misuse of antibiotics accelerates the loss of their effectiveness. Public health campaigns focusing on antibiotic awareness have not effectively communicated and educated the public on this health crisis. New efforts to combat antibiotic resistance are urgently needed. This dissertation focuses on the ecological and public health components of antibiotic resistance research that must be addressed to decelerate antibiotic resistance. A new interdisciplinary theoretical framework was developed to Connect Antibiotic …


Relationships Among Trait Mindfulness, Self-Compassion, And Compassion Fatigue In Mental Health Professionals Working With Clients With A Terminal Illness, Christen Aiguier Jan 2023

Relationships Among Trait Mindfulness, Self-Compassion, And Compassion Fatigue In Mental Health Professionals Working With Clients With A Terminal Illness, Christen Aiguier

Antioch University Dissertations & Theses

This quantitative study explores the relationships among trait mindfulness, self-compassion, and compassion fatigue (CF) in mental health professionals working with clients with a terminal illness. The Five-Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale, and Quality of Life Version 5 were used to explore these facets through linear multiple regression analysis. The Reactions to Research Participation Questionnaire–Revised was used to explore the cost–benefit ratio based on participant perceptions of the research experience. Participants (N = 43) self-selected from emailed invitations sent to members of professional organizations. Data was analyzed using multiple linear regression. Significant correlations included individual relationships between elevated trait mindfulness …


Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky Jan 2023

Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky

Antioch University Dissertations & Theses

Eating Disorders are the second deadliest mental illness, after opioid addiction, and affect a significant amount of the population, with some studies estimating that almost one in ten people will struggle with an eating disorder in their lifetime and that many more will suffer from subclinical eating disorder symptoms like disordered eating (Deloitte Access Economics, 2020). The majority of people struggling with an eating disorder are not medically underweight, and traditionally eating disorder research and treatment has failed to address eating disorders in people in larger bodies (Galmiche et al., 2019). To better understand the needs and experiences related to …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner Jan 2023

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …


Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner Jan 2023

Nonsuicidal Self-Injury And Real-Life Self-Disclosure Among Internet Users, Matthew Tanner

Antioch University Dissertations & Theses

The purpose of this study was to explore several unknown issues regarding disclosure of nonsuicidal self-injury (NSSI) among users of social media. NSSI is a category of behaviors that cause intentional harm to the body without the intent to commit suicide. However, individuals who self-injure may unintentionally risk serious and even life-threatening harm. Moreover, the stigma and resultant shame associated with NSSI discourage reporting and thus complicate research into the behavior. This study examined the factors involved in individuals’ decisions to disclose NSSI. The current study uses primarily descriptive statistics from an internet-based survey to explore the following questions: (a) …


An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio Jan 2023

An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio

Antioch University Dissertations & Theses

This qualitative study aims to explore the unique experiences and challenges faced by Latino Caribbean cisgender gay men within their cultural and social contexts. Using focus group and thematic analysis, the researcher examines the narratives and perspectives of a diverse sample of Latino Caribbean cisgender gay men (n = 6) to gain insights into their sexual identity process, cultural influences, family dynamics, and support systems utilizing Interpretative Phenomenological Analysis (IPA) as the methodological framework. The researcher’s findings highlight the themes of Awareness of Sexual Identity, Visibility Management, Spanish Caribbean Families' Influences, Being True to Oneself, and Positive Experiences & Role …


Family Excommunication And Fleeing Nones: Religion, Nonreligion, And Estrangement In Therapy, Jonathan Ludi Leitch Jan 2023

Family Excommunication And Fleeing Nones: Religion, Nonreligion, And Estrangement In Therapy, Jonathan Ludi Leitch

Antioch University Dissertations & Theses

Religion fractures families, and therapists working with clients in search of healing have so far had little empirical guidance on how to help. This phenomenological study is the first to explore the experiences of nonreligious Americans using therapy as a way to address religion-related family estrangement. Seventeen participants, all self-identifying as nonreligious but raised in Christian families, were interviewed about their therapy experiences. Most had seen individual therapists and preferred an individual focus but appreciated systemic conceptualizations and interventions. Nondirective, evidence-based, and, when appropriate, trauma-informed approaches were found to be most helpful. Nonreligious, especially non-Christian, therapists were usually but not …


Forest Bathing Increases Adolescent Mental Well-Being And Connection To Nature: A Transformative Mixed Methods Study, Jennifer Keller Jan 2023

Forest Bathing Increases Adolescent Mental Well-Being And Connection To Nature: A Transformative Mixed Methods Study, Jennifer Keller

Antioch University Dissertations & Theses

Previous research has demonstrated that practicing forest bathing has significant positive effects on well-being. However, few studies have investigated whether forest bathing increases adolescent well-being despite the growing adolescent mental health crisis in the United States. Similarly, few studies have explored forest bathing’s impacts on connectedness to nature. Considering the ongoing environmental crisis, determining if forest bathing increases connectedness to nature is a critical expansion of forest bathing research, as connectedness to nature is linked to environmental care and concern. This study investigated the possibility that forest bathing, a nature-based mindfulness practice, could increase adolescent mental well-being and connectedness to …


Understanding How Secular Spirituality Transforms Intergenerational Parenting Styles, Barrie Birge Jan 2023

Understanding How Secular Spirituality Transforms Intergenerational Parenting Styles, Barrie Birge

Antioch University Dissertations & Theses

A family is a relational system that shapes a child’s development, and it is well-established that parenting directly exasperates or reduces a child’s internal and external behaviors (Foran et al., 2020; Rikuya & Toshiki, 2018). Parents are influential figures during childhood and adolescence and play a key role in their children’s development (Baumrind, 1978; Maccoby & Martin, 1983). Therefore, it is of great concern that developmental challenges in children and adolescents in the U.S. continue to increase. The Centers for Disease Control (2019) confirms adolescent mental health and suicide variable trends in the U.S. continued to increase significantly between 2009 …


How Cultural Believes Support And Perpetuate Relational Violence: A Delphi Study For Violence Prevention, Alisha D. Guthery Jan 2023

How Cultural Believes Support And Perpetuate Relational Violence: A Delphi Study For Violence Prevention, Alisha D. Guthery

Antioch University Dissertations & Theses

This study solicited experts in relational violence across the United States using the Delphi methodology and grounded theory. This research was conducted in two phases and designed to answer two primary questions: (1) What cultural beliefs are involved in relational violence in the United States? And (2) How are the beliefs about relational violence maintained? The findings showed agreement from the experts on the societal beliefs that hold relational violence, the specific beliefs held by the abuser, and the impacts of these beliefs on the survivor. The experts offered ideas for intervention and prevention, which are important contributions to professional …


Counselors' Perceptions Of Their Preparedness For Telemental Health Services: A Phenomenological Examination, Daniel C. Holland, Jeffry L. Moe, Alan M. "Woody" Schwitzer, Shana Pribesh, Jeanel Franklin Jan 2023

Counselors' Perceptions Of Their Preparedness For Telemental Health Services: A Phenomenological Examination, Daniel C. Holland, Jeffry L. Moe, Alan M. "Woody" Schwitzer, Shana Pribesh, Jeanel Franklin

Counseling & Human Services Faculty Publications

Background: To examine counselors' perceptions of their formal preparation for engaging in telemental health (TMH) counseling with the intent of gaining an understanding of their lived experiences.

Materials and Methods: Semistructured interviews were conducted with seven seasoned counselors who regularly engage in technology-mediated distance counseling.

Results: The results highlighted themes within two emerging categories: the counselor and training/education. Themes related to motivation and specific counselor attributes emerged from the first category and themes of availability, inadequacy, and modality emerged from the second category.

Discussion: The implications from this study suggest a lack of availability and standardization of effective training on …


An Investigation Of Healthcare Professionals' Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara, Gülşah Kemer Jan 2023

An Investigation Of Healthcare Professionals' Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara, Gülşah Kemer

Counseling & Human Services Faculty Publications

In this study, we attempted to understand what other healthcare professionals considered mental health counselors’ (MHCs) tasks in their hospital setting to facilitate medical and mental health services and enhance patients’ well-being. Using an exploratory sequential mixed-methods design (concept mapping), we obtained 3 regions of MHCs’ tasks (i.e., Overarching Roles and Responsibilities of MHCs in the Hospital Setting, MHCs’ Specific Roles in the Hospital Setting, and MHCs’ Roles and Responsibilities as a Multidisciplinary Team Member) represented in 11 clusters. We discussed the results with implications for MHCs, healthcare professionals, counselor educators, and researchers, along with the current study's limitations.


Didactic Recommendations For Teaching About Integrated Care In Human Services Addiction Education, Kristy Carlisle, Mary Mccloskey Jan 2023

Didactic Recommendations For Teaching About Integrated Care In Human Services Addiction Education, Kristy Carlisle, Mary Mccloskey

Counseling & Human Services Faculty Publications

This article presents didactic activities and recommendations to implement in human services addiction education that uses Transformative Learning Theory to teach about integrated care approaches that are associated with improved client outcomes. Authors discuss learners’ attitudes and beliefs towards addiction and evidence-based treatment exploring traditional, evidence-based, and holistic treatment practices and experiential learning and reflection. The innovative goal of this article is to advocate for addiction education that expands learners’ belief systems so that they are more open to integrated care options that cater to each individual they treat.


The Influence Of Internalized Heterosexism On Life Satisfaction: Comparing Sexual Minority Women In Belgium And Turkey, Esra Ummak, Ezgi Toplu-Demirtaş, Amber L. Pope, Jeffry Moe Jan 2023

The Influence Of Internalized Heterosexism On Life Satisfaction: Comparing Sexual Minority Women In Belgium And Turkey, Esra Ummak, Ezgi Toplu-Demirtaş, Amber L. Pope, Jeffry Moe

Counseling & Human Services Faculty Publications

To date, the majority of research studying lesbian, gay, bisexual, transgender, and queer (LGBTQ) health has been conducted in Westernized, predominantly individualistic countries. Building on minority stress theory and models of LGBTQ health, we explored how sexual orientation and nationality moderated the association between internalized heterosexism and life satisfaction for lesbian and bisexual (LB) women living in two countries (Turkey and Belgium) with contrasting social contexts. The results of two-way MANOVA, in a sample of 339 Turkish and 220 Belgian LB women, revealed main effects but no interaction effects. LB women in Belgium reported less internalized heterosexism and more life …


"Teamwork Makes The Dream Work": Infusing Interprofessional Education Into Human Services Curriculum And Training, Nicholas Schmoyer, Kristy Carlisle Jan 2023

"Teamwork Makes The Dream Work": Infusing Interprofessional Education Into Human Services Curriculum And Training, Nicholas Schmoyer, Kristy Carlisle

Counseling & Human Services Faculty Publications

Given the provision of health and wellness services is shifting towards an interdisciplinary framework, human services professionals may be in a unique position to collaborate with various professionals in the pursuit of client welfare. To competently engage in interprofessional care, interprofessional education (IPE) in human services training programs is necessary. This paper points to the alignment between human services organizations, values, and practice with the Interprofessional Education Collaborative’s competencies and makes recommendations for the didactic infusion of IPE into human services programs, curricula, coursework, and experiences.


Pain Experience And Sensory Changes In Astronauts During And After Short-Lasting Commercial Spaceflight: A Proof-Of-Concept Study, Andrea K Sauer, Marie Vigouroux, Patrick M Dougherty, Juan Pablo Cata, Pablo M Ingelmo Jan 2023

Pain Experience And Sensory Changes In Astronauts During And After Short-Lasting Commercial Spaceflight: A Proof-Of-Concept Study, Andrea K Sauer, Marie Vigouroux, Patrick M Dougherty, Juan Pablo Cata, Pablo M Ingelmo

Student and Faculty Publications

Space travel has been associated with musculoskeletal pain, yet little is known about the nociceptive changes and pain experience during spaceflight. This preliminary study aims to investigate the pain experience and sensory alterations in astronauts following a 17-day mission to the International Space Station (ISS) on Axiom Space's AX-1 commercial space flight. Two participants were enrolled, and data were collected pre-flight, in-flight, post-flight, and three-month post-flight. Validated pain questionnaires assessed anxiety, catastrophizing, impact on physical and mental health, disability, and overall pain experience. Qualitative interviews were conducted post-landing and conditioned pain modulation (CPM) and quantitative sensory testing (QST) were performed. …


Pilot Study Of A Spanish Language Measure Of Financial Toxicity In Underserved Hispanic Cancer Patients With Low English Proficiency, Julia J Shi, Gwendolyn J Mcginnis, Susan K Peterson, Nicolette Taku, Ying-Shiuan Chen, Robert K Yu, Chi-Fang Wu, Tito R Mendoza, Sanjay S Shete, Hilary Ma, Robert J Volk, Sharon H Giordano, Ya-Chen T Shih, Diem-Khanh Nguyen, Kelsey W Kaiser, Grace L Smith Jan 2023

Pilot Study Of A Spanish Language Measure Of Financial Toxicity In Underserved Hispanic Cancer Patients With Low English Proficiency, Julia J Shi, Gwendolyn J Mcginnis, Susan K Peterson, Nicolette Taku, Ying-Shiuan Chen, Robert K Yu, Chi-Fang Wu, Tito R Mendoza, Sanjay S Shete, Hilary Ma, Robert J Volk, Sharon H Giordano, Ya-Chen T Shih, Diem-Khanh Nguyen, Kelsey W Kaiser, Grace L Smith

Student and Faculty Publications

BACKGROUND: Financial toxicity (FT) reflects multi-dimensional personal economic hardships borne by cancer patients. It is unknown whether measures of FT-to date derived largely from English-speakers-adequately capture economic experiences and financial hardships of medically underserved low English proficiency US Hispanic cancer patients. We piloted a Spanish language FT instrument in this population.

METHODS: We piloted a Spanish version of the Economic Strain and Resilience in Cancer (ENRICh) FT measure using qualitative cognitive interviews and surveys in un-/under-insured or medically underserved, low English proficiency, Spanish-speaking Hispanics (UN-Spanish,

RESULTS: UN-Spanish Hispanic participants reported high acceptability of the instrument (only 0% responded that the …


Development Of Competency-Based Online Genomic Medicine Training (Cogent), Susanne B Haga, Wendy K Chung, Luis A Cubano, Timothy B Curry, Philip E Empey, Geoffrey S Ginsburg, Kara Mangold, Christina Y Miyake, Siddharth K Prakash, Laura B Ramsey, Robb Rowley, Carolyn R Rohrer Vitek, Todd C Skaar, Julia Wynn, Teri A Manolio Jan 2023

Development Of Competency-Based Online Genomic Medicine Training (Cogent), Susanne B Haga, Wendy K Chung, Luis A Cubano, Timothy B Curry, Philip E Empey, Geoffrey S Ginsburg, Kara Mangold, Christina Y Miyake, Siddharth K Prakash, Laura B Ramsey, Robb Rowley, Carolyn R Rohrer Vitek, Todd C Skaar, Julia Wynn, Teri A Manolio

Student and Faculty Publications

The fields of genetics and genomics have greatly expanded across medicine through the development of new technologies that have revealed genetic contributions to a wide array of traits and diseases. Thus, the development of widely available educational resources for all healthcare providers is essential to ensure the timely and appropriate utilization of genetics and genomics patient care. In 2020, the National Human Genome Research Institute released a call for new proposals to develop accessible, sustainable online education for health providers. This paper describes the efforts of the six teams awarded to reach the goal of providing genetic and genomic training …


Reduced Serum Concentrations Of Reactive Oxygen And Nitrogen Species Following Strenuous Exercise In The Heat Are Not Associ-Ated With An Upregulation In Serum Antioxidative Capacity, Sebastian Keller, Hannah Lisa Notbohm, Wilhelm Bloch, Moritz Schumann Dec 2022

Reduced Serum Concentrations Of Reactive Oxygen And Nitrogen Species Following Strenuous Exercise In The Heat Are Not Associ-Ated With An Upregulation In Serum Antioxidative Capacity, Sebastian Keller, Hannah Lisa Notbohm, Wilhelm Bloch, Moritz Schumann

Baltic Journal of Health and Physical Activity

Introduction: Reactive oxygen and nitrogen species (RONS) are produced as a response to exercise and play a part in guiding the adaptive response to physical training. Exercise in the heat has been shown to further increase accumulation of RONS in systemic circulation; however, a high antioxidative response or heat acclimatization mechanisms could attenuate this response. In a previous study, we found reduced RONS concentrations in trained athletes following strenuous cycling in the heat. Therefore, this secondary analysis assessed whether these reduced RONS serum concentrations are induced by an increased serum antioxidant capacity. Methods: Twelve male cyclists (V̇O2peak: 60 …


Applying Data Science And Machine Learning To Understand Health Care Transition For Adolescents And Emerging Adults With Special Health Care Needs, Lisamarie Turk Dec 2022

Applying Data Science And Machine Learning To Understand Health Care Transition For Adolescents And Emerging Adults With Special Health Care Needs, Lisamarie Turk

Nursing ETDs

A problem of classification places adolescents and emerging adults with special health care needs among the most at risk for poor or life-threatening health outcomes. This preliminary proof-of-concept study was conducted to determine if phenotypes of health care transition (HCT) for this vulnerable population could be established. Such phenotypes could support development of future studies that require data classifications as input. Mining of electronic health record data and cluster analysis were implemented to identify phenotypes. Subsequently, a machine learning concept model was developed for predicting acute care and medical condition severity. Three clusters were identified and described (Cluster 1, n …